49D2148075 CLIA NUMBER - TISWELL LEASING CO, LLC DBA MOUNT VERNON HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 49D2148075
  • Facility Name: TISWELL LEASING CO, LLC DBA MOUNT VERNON HEALTHCARE CENTER
  • Facility Address: 8111 TIS WELL DRIVE
    ALEXANDRIA, VA
    ZIP 22306
  • Facility Phone: 513 530-1808
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: AHMED ELEBIARY
  • NPI Number: 1023526472
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 49D2148075
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name TISWELL LEASING CO, LLC DBA MOUNT VERNON HEALTHCARE CENTER
Street 8111 TIS WELL DRIVE
City ALEXANDRIA
State VA
ZIP 22306
Phone 513 530-1808
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2024
Certificate Expiration Date 5/2/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director AHMED ELEBIARY

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This page was last updated on: 9/29/2025